Child & Adolescent Psychological Service & Wellness, P.C.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

012586-01 Issued in NY

Legal business name

CHILD & ADOLESCENT PSYCHOLOGICAL SERVICE & WELLNESS, P.C.

Practice address

496 Smithtown Byp
Suite 304
Smithtown, NY 11787-5005

Phone

(631) 239-5956

NPI assigned

Aug 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carla Natalucci-Hall, PSY.D.NPI 1346323896

Title

Psychologist

Phone

(631) 239-5956

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Natalucci-Hall, PSY.D.

  • Clinical Psychologist
  • Floral Park, NY
  • NPI 1346323896
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1245488527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 SMITHTOWN BYP",
            "address_2": "SUITE 304",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875005",
            "telephone_number": "631-239-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SMITHTOWN BYP",
            "address_2": "SUITE 304",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875005",
            "telephone_number": "631-239-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & ADOLESCENT PSYCHOLOGICAL SERVICE & WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "NATALUCCI-HALL",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "631-239-5956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "012586-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmine Ashley Chervin
• Cheryl Bittner, LCSW P.C.
• Keri K Chiappino, D.C.
• Michael Chiappone, LCSW
• Louise Chiarulli
• Michael J Chimenti, DMD
• Susan Chiofolo, RDH
• Anna Chiramannil
• Tintu Chiramel, D.O.
• Carol Lynn Chirco

• Clinical Child & Adolescent Psychologist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Clinical Child & Adolescent Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.